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Walla Walla Community Hospice exists in the hope and
belief that through appropriate care and the involvement
of a caring community sensitive to their needs, patients
and their loved ones may be free to attain a degree of
mental and spiritual preparation for death that is
satisfactory to them. |
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Patient
Referrals |
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Patients are referred to WWCH from a
variety of sources. Referrals are most often from the
patient's physician, but referrals are also made from assisted
living facility staff, clergy, social workers and family
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Admission Process |
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The admission process involves a home visit by a WWCH
RN to confirm that the patient is appropriate for
hospice care. Admissions can be made at any time, and do
not need to be done during office hours. During the
admission appointment, the hospice nurse will review the
following criteria to determine if the patient's
condition is appropriate for receiving hospice care:
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| Patient prognosis of six months or less to live
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| Curative treatment has been completed
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| Attending physician approval and willingness to follow the
patient
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| WWCH Medical Director approval
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| A caregiver is designated to assist with patient care -
may be a skilled nursing facility or an adult family member
at home
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| Patient addresses "code" status
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| Patient does NOT need to be homebound
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Team Approach
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The hospice approach to providing care uses an
interdisciplinary team of professional nurses, social
workers, clergy, trained volunteers and support staff.
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The role of the hospice team:
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| Develops a care plan to maximize services to each
patient and family
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| Provides regular reports to the attending physician
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| Manages pain and other symptoms to assure the highest
level of comfort for the patient
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| Provides supportive care to relieve anxieties and
emotional fears for patient and loved ones
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The role of the patient's physician:
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| Approves admission to WWCH
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| Provides palliative care orders
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| Remains the attending physician while working with
the WWCH team
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| Evaluates the effectiveness of hospice care
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The role of the patient and family:
The choices and desires of the patient and loved ones
are reflected in the plan of care. The family and loved
ones are seen as caregivers needing care and support so
that their own stresses and concerns can be addressed.
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Services
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Patient care is provided in the home, nursing home or
other assisted living facility; patients who are
hospitalized on the advice of their physician continue
to receive hospice care for pain and symptom control.
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| Regularly scheduled RN visits, with availability 24
hours a day, 7 days a week
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| CNA assistance for up to 20 hours per week
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| Respite care, with occasional 2-3 hour periods of relief
for the primary caregiver
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| Loan of durable medical equipment
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| Provision of medical supplies. Provision of medications
(relating to the terminal illness)
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| Social work and Chaplain support
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| Volunteer support by specially trained volunteers.
Bereavement support
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Costs
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No one is ever turned away from Walla Walla Community
Hospice for financial reasons. WWCH does bill Medicare,
Medicaid and private insurance on the patient's behalf.
Hospice care is available to everyone regardless of
ability to pay.
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©2008 Walla Walla Community Hospice
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